title: [Spontaneous intestinal hematoma as anticoagulant treatment complication].
abstract: The haemoperitoneum and bowel haematoma are complications of the oral anticoagulant treatment. The abdominal pain in patient under oral anticoagulant drugs represents a diagnostic problem; apart of the acute abdomen, we also have to consider unusual haemorrhagic lesion, rare in patients without coagulation problems. The early diagnosis of the complication in the patients permits a conservative treatment with excellent prognosis, instead of performing surgical operations in subjects with frequent comorbidities. We report a case of haemoperitoneum and intramural bowel haematoma in a patient with altered laboratory parameters and haemodynamic instability that required an urgent surgical procedure.
authors.affiliation: Università degli Studi di Roma La Sapienza, Policlinico Umberto I, Dipartimento di Chirurgia General F. Durante, IV Scuola di Specializzazione in Chirurgia Generale, Rome.
authors.forename: G
authors.initials: G
authors.lastname: Leonardo
authors.forename: V
authors.initials: V
authors.lastname: Catracchia
authors.forename: A
authors.initials: A
authors.lastname: Molina
authors.forename: J M
authors.initials: JM
authors.lastname: Bengochea
authors.forename: J M
authors.initials: JM
authors.lastname: Heredero
authors.forename: A
authors.initials: A
authors.lastname: Lòpez
authors.forename: O
authors.initials: O
authors.lastname: Gòmez
authors.forename: M
authors.initials: M
authors.lastname: Bezzi
mesh_terms: D000074:Acenocoumarol / Q000009:adverse effects*; D000368:Aged; D000787:Angina Pectoris / Q000188:drug therapy; D000925:Anticoagulants / Q000009:adverse effects*; D006406:Hematoma / Q000139:chemically induced* / Q000601:surgery; D006465:Hemoperitoneum / Q000139:chemically induced* / Q000601:surgery; D006801:Humans; D007579:Jejunal Diseases / Q000139:chemically induced* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D000074:Acenocoumarol